BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH
1400 8th Avenue, Fort Worth, TX · Baylor Scott & White Health · · NPI 1669472387
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Pvb thoracic 2nd+ inj site CPT 64462 | $1,013.20 | $1,688.66 | $270.19 – $1,435.36 | 20 |
| Pvb thoracic single inj site CPT 64461 | $1,021.03 | $1,701.71 | $262.86 – $1,713.14 | 26 |
| Pwr pck base combo vad, rep HCPCS Q0489 | $16,315.20 | $27,192.00 | $4,350.72 – $21,753.60 | 20 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $78.23 | $130.38 | $16.38 – $110.82 | 21 |
| Pyruvate CPT 84210 | $94.50 | $157.50 | $10.00 – $118.12 | 26 |
| Pyruvate kinase CPT 84220 | $295.94 | $493.23 | $7.93 – $65.62 | 26 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,610.93 | $2,684.88 | $269.31 – $2,013.66 | 26 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,199.16 | $1,998.60 | $181.76 – $1,498.95 | 26 |
| Quest t3 uptake CPT 84479 | $90.83 | $151.39 | $5.43 – $113.54 | 26 |
| Quinupristin/dalfopristin HCPCS J2770 | $1,261.22 | $2,102.04 | $16.20 – $1,786.73 | 21 |
| Rabies ig ht&sol human im/sc CPT 90377 | $6,129.43 | $10,215.72 | $230.07 – $1,682.14 | 26 |
| Radiation handling CPT 77790 | $213.57 | $355.95 | $24.18 – $302.56 | 20 |
| Radiation physics consult CPT 77336 | $694.39 | $1,157.31 | $127.06 – $867.98 | 26 |
| Radiation therapy dose plan CPT 77300 | $473.01 | $788.35 | $53.98 – $591.26 | 26 |
| Radiation treatment aid(s) CPT 77332 | $262.55 | $437.59 | $45.54 – $336.13 | 26 |
| Radiation treatment aid(s) CPT 77333 | $730.71 | $1,217.85 | $111.32 – $913.39 | 26 |
| Radiation treatment aid(s) CPT 77334 | $1,207.28 | $2,012.13 | $107.95 – $1,509.10 | 26 |
| Radiation treatment delivery CPT 77401 | $130.96 | $218.27 | $34.92 – $297.05 | 21 |
| Radiation treatment delivery CPT 77402 | $1,200.00 | $2,000.00 | $97.38 – $1,500.00 | 26 |
| Radiation treatment delivery CPT 77412 | $2,400.00 | $4,000.00 | $378.92 – $3,000.00 | 26 |
| Radiation tx management x5 CPT 77427 | $326.16 | $543.60 | $86.98 – $462.06 | 20 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $3,430.84 – $15,671.95 | 16 |
| Radical resection of elbow CPT 24149 | not published | not published | $2,398.52 – $17,722.46 | 18 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $815.20 – $10,795.00 | 18 |
| Radiology port images(s) CPT 77417 | $230.29 | $383.81 | $17.99 – $326.24 | 20 |
| Radiotherapy dose plan imrt CPT 77301 | $5,996.41 | $9,994.01 | $1,320.92 – $7,495.51 | 26 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,175.81 | $3,626.35 | $275.66 – $3,517.62 | 26 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $3,357.46 | $5,595.76 | $518.17 – $4,196.82 | 26 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,731.46 | $4,552.43 | $652.23 – $3,517.62 | 26 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,723.06 | $4,538.43 | $338.81 – $3,517.62 | 26 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,494.49 | $2,490.81 | $228.55 – $1,868.11 | 26 |
| Radphm quant measure sgl area add-on CPT 78835 | $734.09 | $1,223.48 | $89.21 – $1,039.96 | 20 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $815.20 – $10,795.00 | 18 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $815.20 – $7,039.11 | 18 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $2,652.22 | $4,420.37 | $70.38 – $3,315.28 | 26 |
| Rapid desensitization CPT 95180 | $331.20 | $552.00 | $88.32 – $987.04 | 23 |
| Rapid Strep Test CPT 87880 | $259.93 | $433.21 | $10.00 – $324.91 | 26 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $1,934.13 | $3,223.55 | $363.08 – $2,417.66 | 26 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $42,296.39 | $70,493.98 | $206.22 – $14,446.50 | 26 |
| Rbc count only automated CPT 85041 | $11.85 | $19.75 | $2.54 – $14.81 | 26 |
| Rbc deglycerolized each unit HCPCS P9039 | $856.71 | $1,427.85 | $228.46 – $1,070.89 | 26 |
| Rbc depletion of harvest CPT 38212 | $1,803.18 | $3,005.30 | $35.00 – $2,253.97 | 26 |
| Rbc irradiated each unit HCPCS P9038 | $517.86 | $863.10 | $135.65 – $647.33 | 26 |
| Rbc osmotic fragility CPT 85555 | $151.80 | $253.00 | $6.27 – $189.75 | 26 |
| Realignment of knee CPT 27455 | not published | not published | $1,643.86 – $15,671.95 | 16 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Rechanneling of artery CPT 35361 | not published | not published | $2,546.00 – $7,038.00 | 3 |
| Recon, cta for surg plan HCPCS G0288 | $508.91 | $848.18 | $72.80 – $1,841.00 | 20 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $1,954.22 – $14,507.25 | 18 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $2,552.50 – $14,507.25 | 18 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $1,687.70 – $58,603.99 | 17 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $1,954.22 – $14,507.25 | 18 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $3,715.89 – $12,785.64 | 16 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $1,947.78 – $37,869.50 | 16 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $698.30 – $6,093.00 | 19 |
| Reconstruction of jaw CPT 21245 | not published | not published | $2,544.14 – $14,507.25 | 19 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $3,879.00 – $58,603.99 | 19 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $2,688.18 – $14,507.25 | 19 |
| Reconstruction of midface CPT 21188 | not published | not published | $2,927.15 – $12,785.64 | 16 |
| Reconstruction of mouth CPT 40840 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Reconstruction of nail bed CPT 11762 | $2,066.10 | $3,443.50 | $148.94 – $4,517.58 | 26 |
| Reconstruction of nose CPT 30420 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Reconstruction of urethra CPT 53410 | not published | not published | $1,689.43 – $12,818.21 | 19 |
| Reconstruction of urethra CPT 53415 | not published | not published | $1,991.63 – $7,711.00 | 3 |
| Reconstruction of urethra CPT 53430 | not published | not published | $1,689.43 – $12,818.21 | 19 |
| Reconstruction of urethra CPT 54312 | $3,456.60 | $5,761.00 | $1,142.90 – $8,636.11 | 26 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $886.62 – $7,975.81 | 19 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $7,038.00 – $32,603.53 | 17 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $2,553.79 – $46,166.33 | 17 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $1,689.43 – $12,818.21 | 19 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $1,689.43 – $12,818.21 | 19 |
| Rectal sensation test CPT 91120 | $651.44 | $1,085.73 | $173.72 – $1,273.47 | 19 |
| Red blood cells each unit HCPCS P9021 | $414.33 | $690.55 | $110.49 – $517.91 | 26 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $943.35 | $1,572.25 | $251.56 – $1,281.02 | 26 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $577.71 | $962.85 | $154.06 – $722.14 | 26 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $853.50 | $1,422.50 | $109.29 – $512.29 | 26 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $523.83 | $873.05 | $139.69 – $656.45 | 26 |
| Red blood cells washed each unit HCPCS P9022 | $583.68 | $972.80 | $155.65 – $1,032.51 | 26 |
| Red cell sequestration CPT 78140 | $445.14 | $741.90 | $109.60 – $1,021.72 | 26 |
| Redo endovas vena cava filtr CPT 37192 | $4,970.26 | $8,283.76 | $1,325.40 – $7,896.23 | 26 |
| Reduce testis torsion CPT 54600 | $5,379.04 | $8,965.07 | $1,142.90 – $8,636.11 | 26 |
| Reduction of facial bones CPT 21209 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Reduction of procidentia 45900 CPT 45900 | $1,406.62 | $2,344.37 | $328.50 – $2,264.11 | 26 |
| Re-explore parathyroids CPT 60502 | not published | not published | $5,649.47 – $14,507.25 | 17 |
| Refill maint impl spine pump CPT 95991 | $229.80 | $383.00 | $61.28 – $733.72 | 26 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $695.95 | $1,159.92 | $3.19 – $985.93 | 21 |
| Reimplant ureter in bladder CPT 50785 | not published | not published | $2,140.23 – $7,038.00 | 3 |
| Reinforce hip bones CPT 27187 | not published | not published | $1,744.96 – $15,671.95 | 16 |
| Reinforce shoulder bones CPT 23491 | not published | not published | $2,763.00 – $32,603.53 | 19 |
| Release facial nerve CPT 69720 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Release facial nerve CPT 69955 | not published | not published | $5,649.47 – $14,507.25 | 17 |
| Release of lower leg tendon CPT 27680 | not published | not published | $1,088.27 – $8,018.48 | 19 |
| Release of midfoot joint CPT 28264 | $1,551.05 | $2,585.08 | $593.04 – $3,981.46 | 26 |
| Release of ureter CPT 50715 | not published | not published | $2,146.94 – $7,038.00 | 3 |
| Release palm contracture CPT 26040 | $1,551.05 | $2,585.08 | $593.04 – $3,981.46 | 26 |
| Relieve bladder contracture CPT 52640 | not published | not published | $1,142.90 – $8,636.11 | 19 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.